Jurdan Mendigutxia, fisioterapeuta and specialist in recovery and prevention of injuries, was interviewed recently by 'El País' and ensured that the operation to Ousmane Dembélé by his injury of isquiotibiales is an exception, since in the majority of the cases, if there is not desinserción, does not do lacking to operate but simply carry out plans of recovery and physiotherapy.
Luis González Lake, boss of the medical services of Valencia, also has been interviewed by the quoted half in this regard of the injuries of isquiotibiales, increasingly frequent in the footballers of elite. "The operation is necessary when the injury affects at least to two muscles and to the sinew or to the ligament, and there is desinserción of the sinew", explains.
"The bistoury supposes a scar added and unavoidable functional deficits"
"The arrancamiento is used to give more in sportsmen very young, therefore it is perhaps odd that him sucediera to Dembélé, that has already 20 years. The Barça will have studied it well before deciding", adds on the injury of Ousmane Dembélé with the FC Barcelona.
Mendigutxia Has explained the technical secrets of the injuries of isquiotibiales, and what could have him occurred to Dembélé before being operated by the doctor Sakari Orava in Finland. "I do not know at first hand the case, but the mechanism of injury does not seem compatible with an avulsión where an extension of knee accompanied of a hiperflexión of trunk is necessary to reproduce it in the laboratory", signals.
"Therefore, it can treat of an injury where the sinew was affected, or intratendinosa, but does not exist evidence to date that a surgery was more effective that the conservative treatment. It exists controversy about that this type of greater present injuries number of relapses although a systematic review very recent like this signal it".
Will have consequences the surgery for Dembélé?
The surgery in theory will finish once and for all with the problems of Dembélé, although neither it can know for sure. "With the existent evidence, the muscular injuries even with affectation of the sinew do not operate ", comments Mendigutxia.
"While there is not a change of strategy of the clubs, will follow having players that every three months recaigan of an old muscular injury. The operation ensures that the sinew will not go back to cause problems", ensures, although also there is a risk added: "The bistoury supposes another scar added to be able to tackle the problem and unavoidable functional deficits". It will be necessary to expect long, in any case, to see if Dembélé sees mermado physically of face to the next years.